| Dental Dynamic Services, Inc. | |
|
5752 Lonetree Blvd Rocklin CA 95765-3734 | |
| (916) 469-3613 | |
| (916) 434-6384 |
| Full Name | Dental Dynamic Services, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5752 Lonetree Blvd, Rocklin, California |
| Authorized Official Name and Position | Pacifico Mapanao (CEO) |
| Authorized Official Contact | 9165175999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Dynamic Services, Inc. 5752 Lonetree Blvd Rocklin CA 95765-3734 Ph: (916) 469-3613 | Dental Dynamic Services, Inc. 5752 Lonetree Blvd Rocklin CA 95765-3734 Ph: (916) 469-3613 |
| NPI Number | 1386944460 |
|---|---|
| Provider Enumeration Date | 10/23/2010 |
| Last Update Date | 10/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386944460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 55740 (California) | Primary |
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